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pmid:34642313

Breast Cancer Consensus Subtypes: A system for subtyping breast cancer tumors based on gene expression.

Christina Horr · Steven A Buechler

NPJ breast cancer · 2021 doi:10.1038/s41523-021-00345-2

Paper

complete

Experiment

partial

Data

partial

Analysis

partial

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Breast Cancer Consensus Subtypes: A system for subtyping breast cancer tumors based on gene expression.
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10.1038/s41523-021-00345-2
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Christina Horr
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Steven A Buechler
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NPJ breast cancer
year
2021
abstract
Breast cancer is heterogeneous in prognoses and drug responses. To organize breast cancers by gene expression independent of statistical methodology, we identified the Breast Cancer Consensus Subtypes (BCCS) as the consensus groupings of six different subtyping methods. Our classification software identified seven BCCS subtypes in a study cohort of publicly available data (n = 5950) including METABRIC, TCGA-BRCA, and data assayed by Affymetrix arrays. All samples were fresh-frozen from primary tumors. The estrogen receptor-positive (ER+) BCCS subtypes were: PCS1 (18%) good prognosis, stromal infiltration; PCS2 (15%) poor prognosis, highly proliferative; PCS3 (13%) poor prognosis, highly proliferative, activated IFN-gamma signaling, cytotoxic lymphocyte infiltration, high tumor mutation burden; PCS4 (18%) good prognosis, hormone response genes highly expressed. The ER- BCCS subtypes were: NCS1 (11%) basal; NCS2 (10%) elevated androgen response; NCS3 (5%) cytotoxic lymphocyte infiltration; unclassified tumors (9%). HER2+ tumors were heterogeneous with respect to BCCS.
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The consensus subtyping method, as it was applied to create the CMS of colorectal cancer9, consists of the steps: (1) creating multiple subtyping systems using a variety of methods, (2) clustering the network of all possible subtypes, (3) for each clustered set of subtypes, identifying samples frequently assigned to the cluster’s subtypes, so-called core samples.
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Complete file
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